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NPI Code Detail

MEDICARE: LAUREN PAIGE KOWALSKI DPT, PT

MEDICARE: LAUREN PAIGE KOWALSKI DPT, PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT025967PA

General Provider Information

NPI Number : 1659807758
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN PAIGE KOWALSKI DPT, PT
Provider Business Mailing Address
First Line : 207 GLEN SPRING CIR
Second Line :
City : CANONSBURG
State : PA
Zip : 15317-2307
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 90 HUMBERT LN
Second Line :
City : WASHINGTON
State : PA
Zip : 15301-6549
Country : US
Telephone Number : 724-228-4740
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2017
Last Update Date : 05/10/2017

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